AJANIQUE RAVEN

ANTIOCH, CA
NPI1396517090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1527930923)
Enumeration Date2023-10-25
Last Update Date2023-10-25
Business Address
AJANIQUE RAVEN
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
Mailing Address
AJANIQUE RAVEN
2301 SYCAMORE DR APT 108
ANTIOCH, CA 94509-2930
Phone number: 415-900-7325
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